| NPI | 1366024655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 81521) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351047800) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2026-07-24 |